Day 1- UTI Flashcards
What is the most common type of UTI?
What is the difference between complicated and uncomplicated UTI?
When is a UTI recurrent and what is the difference between reinfection and relapse?
Lower UTI(cystitis)
Uncomplicated shows that patients do NOT have structural abnormalities or functional ones that interfere with urine flow.
3 or more in one year, Reinfection is different organism, relapse is same organism.
What are risk factors for UTI’s?
What are your common symptoms for lower UTI?
What are your common symptoms for upper UTI?
Genetics, foreign bodies(catheters), surgical procedures, longterm care facility, age.
gross hematuria, dysuria, urgency, frequency, nocturia, suprapubic tenderness.
Gross hematuria, flank pain, fever, N/V, malaise.
What lab findings show a UTI?
What is the most common UTI bacteria?
Which populations show the most asymptomatic bacteriuria?
Bacteriuria(>100,000 is significant), Pyuria, Hematuria, Nitirite-positive urine(only enterobacteriaceae), leukocyte esterase-positive urine.
E.Coli
Pregnant women, Children, Patients undergoing urethral manipulation.
What is your 1st line treatment for uncomplicated UTI cystitis?
How long do you do treatment for the 3 drugs for uncomplicated UTI cystitis?
What is 2nd line for UUTIC?
TMP-SMX,Nitrofurantoin,Fosfomycin.
Nitro-5 days,Tmp-SMX-3 days, Fosfomycin- 1 dose which may have inferior efficacy due to low treatment time.
Fluoroquinolones for a 3 day duration.
How do you treat pyelonephritis?
How do you treat complicated cystitis?
How do you treat mild-moderate complicated pyelonephritis?
Ciprofloxacin for 7 days, Levofloxacin for 5 days, Bactrim for 14 days.
Cipro BID for 5-7 days and levo once daily for 5-7 days.
Ceftriaxone,Cipro,Levo,Azetreonam for 14 days.
How do you treat severe complicated pyelonephritis?
How do you treat UTI’s in pregnancy?
How can you prevent recurrent UTI’s in non pharm?
Cefepime,Pip tazo, Carbapenems, Ceftolozane, Ceftazadime, sometimes MRSA treatment for 7-14 days.
Most things except tetracyclines and fluoroquinolones.
Avoid spermicides, drink cranberry juice and water, postcoital voiding.
How do you treat bacterial prostatitis?
Tmp-SMZ, fluoroquinolones, acute is 4-6 weeks and chronic is 6-12 weeks
